Individual
KEANNA LOGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
231 W LOCKWOOD AVE STE 201, WEBSTER GROVES, MO 63119-2951
(314) 968-1900
Mailing address
1711 FAIRWAY DR, O FALLON, IL 62269-2915
(618) 978-5805
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
10/20/2024
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